MR. DOMINIC WONG, GNP-BC

Nurse Practitioner

Active Individual
NPI: 1366472649

Practice Address

13652 CANTARA ST
BALBOA PLAZA BLDG
Panorama City, CA 91402

Phone: (818) 832-7287

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 587716 (CA)
Registered Nurse - Gerontology 163WG0600X No NP 15170 (CA)
Nurse Practitioner - Gerontology 363LG0600X No 15170 (CA)
Nurse Practitioner 363L00000X Yes 15170 (CA)

Frequently Asked Questions

NPI 1366472649 is the National Provider Identifier for MR. DOMINIC WONG, GNP-BC, a Nurse Practitioner provider located in Panorama City, CA. This NPI was enumerated on July 3, 2006.
MR. DOMINIC WONG, GNP-BC practices at 13652 CANTARA ST, BALBOA PLAZA BLDG, Panorama City, CA 91402.

Quick Facts

NPI
1366472649
Type
Individual
Enumerated
Jul 3, 2006
Last Updated
Feb 16, 2023

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